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Organization
WILLIAMS NURSE PRACTITIONER GROUP
Active
Organization
WILLIAMS NURSE PRACTITIONER GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA M. WILLIAMS MD (SOLE PROPRIETOR)
(270) 247-7795
Entity
Organization
Contact information
Practice address
110 S 9TH ST, MAYFIELD, KY 42066-2208
(270) 247-7795
(270) 247-9013
Mailing address
110 S 9TH ST, MAYFIELD, KY 42066-2208
(270) 247-7795
(270) 247-9013
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6289P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64247943
—
KY
Enumeration date
03/02/2016
Last updated
03/02/2016
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